U.S. patent number 3,792,701 [Application Number 05/194,833] was granted by the patent office on 1974-02-19 for neutralising device for urinary, ureteral and kidney pelvis caluli.
Invention is credited to Eduard Kloz, Heinz Kloz.
United States Patent |
3,792,701 |
Kloz , et al. |
February 19, 1974 |
NEUTRALISING DEVICE FOR URINARY, URETERAL AND KIDNEY PELVIS
CALULI
Abstract
A device for neutralization of calculi in the urinary tract,
ureteral tract and kidney comprising a probe means and a
piezoelectric transducer for producing ultrasonic vibration in the
probe means. The transducer has piezoelectric discs disposed
between a base member and a sound transmitting member. Mechanical
means are provided to tightly hold the base member, piezoelectric
discs and sound transmitting member together. The transducer is
interconnected with the probe means for transmitting ultrasonic
vibrations from the transducer to the probe means. The mechanical
means in a specific embodiment comprises a one-piece bolt having a
cross-section along its end portion of an exponential horn which is
reduced exponentially as a function of its length. The end of the
horn-shaped end portion is designed as a cylindrical, straight
socket having an internal bore into which rigid or flexible
vibrating probes may be attached. the probe means includes a light
conductor of a cystoscope with a common flushing probe member about
which water circulates.
Inventors: |
Kloz; Eduard (Villingendorf,
DT), Kloz; Heinz (Villingendorf, DT) |
Family
ID: |
5787014 |
Appl.
No.: |
05/194,833 |
Filed: |
November 2, 1971 |
Foreign Application Priority Data
Current U.S.
Class: |
606/2.5; 606/206;
600/104; 606/128 |
Current CPC
Class: |
A61B
17/22012 (20130101); B06B 3/02 (20130101); A61B
1/12 (20130101); A61B 2018/00982 (20130101); A61B
2217/007 (20130101); A61M 3/0279 (20130101); A61B
17/22031 (20130101) |
Current International
Class: |
A61B
17/22 (20060101); A61B 1/12 (20060101); B06B
3/02 (20060101); B06B 3/00 (20060101); A61B
17/32 (20060101); A61B 18/00 (20060101); A61M
3/00 (20060101); A61M 3/02 (20060101); A61b
001/30 () |
Field of
Search: |
;128/6,7,328 |
References Cited
[Referenced By]
U.S. Patent Documents
Foreign Patent Documents
Primary Examiner: Laudenslager; Lucie H.
Attorney, Agent or Firm: Markva & Smith
Claims
What is claimed is:
1. A device for neutralization of calculi in the urinary tract,
ureteral tract and kidney comprising:
a. a probe means,
b. a piezoelectric transducer for producing ultrasonic vibrations
in the probe means,
c. said transducer having a base member, a sound transmitting
member and piezoelectric discs disposed between the base member and
the sound transmitting member,
d. mechanical means for tightly clamping the base member,
piezoelectric discs and sound transmitting member together, and
e. means for interconnecting said transducer to the probe means for
transmitting ultrasonic vibrations from the transducer to the probe
means.
2. A device as defined in claim 1 wherein
said probe means includes a probe member having an operating end
and being connected to the transducer for vibration and further
including a shaft means through which said probe member passes,
said shaft member being supported by the transducer.
3. A device as defined in claim 2 wherein
said shaft includes an inlet and an outlet for circulating water
around the probe member and means for conducting light from a
cystoscope to the operating end of the vibrating probe.
4. A device as defined in claim 2 wherein
said interconnecting means includes retaining means attached to the
transducer outside the vibration effects of the transducer and a
cone mounted on the retaining means,
said cone being adapted to carry the shaft means which houses the
probe member and is further adapted to carry a cystoscope so that
the operating end of the probe member may be viewed during
operation.
5. A device as defined in claim 1 wherein
said mechanical means includes a bolt member passing through the
base member, piezoelectric discs and sound transmitting member,
said bolt member firmly holding the members and discs of the
transducer from each end of the transducer,
said interconnecting means including means for transmitting
vibrations from the bolt member to the probe means.
6. A device as defined in claim 5 wherein
said probe means includes a probe member and
said probe interconnecting means includes a tapered sound
transmitting end portion having a free end and being formed on the
bolt member as a one-piece configuration,
said end portion being threadedly engaged with said probe member so
that ultrasonic vibrations are transmitted from the transducer via
the end portion.
7. A device as defined in claim 6 wherein
a nut is fixedly tightened against the outside of the base member
of the transducer, and
the bolt member is in threaded engagement with said sound
transmitting member of the transducer and is in threaded engagement
with said nut.
8. A device as defined in claim 6 wherein
the sound transmitting end portion of the bolt member tapers
exponentially to its free end from the sound transmitting member of
the transducer, runs in the form of an arc to a straight end having
an inside thread,
said probe member being threadedly engaged with said inside
thread.
9. A device as defined in claim 6 wherein
said probe member is developed cylindrically beyond the end of its
threaded engagement with the vibration transmitting end portion of
the one-piece bolt and then tapers conically and flares at its free
end into a cup-shaped crushing end.
10. A device as defined in claim 1 wherein
said probe means includes a hollow probe member having a hose
connection for rinsing water to be conducted through the probe
member to the operating end thereof.
11. A device as defined in claim 10 wherein
said interconnecting means includes retaining means attached to the
transducer outside the vibration effects of the transducer and a
cone mounted on the retaining means,
said cone being adapted to carry the shaft means which houses the
probe member and is further adapted to carry a cystoscope so that
the operating end of the probe member may be viewed during
operation.
Description
BACKGROUND OF THE INVENTION
This invention relates to a novel device for the neutralization
preferably of urinary, ureteral and kidney pelvis calculi.
The neutralization or removal, respectively, of urinary, ureteral
and kidney pelvis calculi is still very problematic. It is known
how to remove such stones surgically, or to withdraw certain stones
by means of a loop catheder, how to disintegrate certain stones
chemically by altering the pH value, how to distintegrate the
stones by hydraulic shock wave action and how to crush less hard
urinary calculi mechanically, by means of a lithotriptor probe. In
all cases, all these processes can be applied only to a limited
extent and means that the patient is frequently subject to very
unpleasant and time-consuming treatments and secondary effects.
SUMMARY OF THE INVENTION
To overcome all these difficulties it is the object of the present
invention to induce, by ultrasonic action, resonant vibrations
preferably in urinary, ureteral and kidney pelvis calculi in the
organs so that the said calculi disintegrate to minute particles
which can easily be removed from the organs concerned.
To attain this object the present invention provides a device for
neutralization preferably of urinary, ureteral and kidney pelvis
calculi, wherein the connecting element passing through all
individual components of a known piezoelectric transducer and
connecting these components, which is cylindrical or tapers towards
the centre and then flares again, has, at the main radiant end face
of the transducer, a trumpet-shaped flare and ends in a slight
curve as an exponential horn, the cross section of which is reduced
exponentially as a function of its length, the end section of said
exponential horn being designed as a cylindrical, straight socket
with internal bore for the screw-in working attachments in the form
of rigid and flexible vibrating probes, and wherein the probe
concerned is provided and active, together with the light conductor
of the cystoscope, in a common flushing probe, about which
circulates water.
New are also the forms and designs of the rigid and flexible
vibrating probes and the variable forms of the heavy duty
transducer. It is further proposed, in accordance with the
invention, to make use of a lithotrite as a means for transmitting
the ultrasound so as to act as a disintegrator.
BRIEF DESCRIPTION OF THE DRAWINGS
Some embodiments of the invention will now be described by way of
example and with reference to the accompanying drawings, in
which:
FIG. 1 shows a transducer with exponential horn for connection of
the vibrating probes and with a coupling element for the
cystoscope;
FIG. 2 shows a modified version of the embodiment according to FIG.
1;
FIG. 3 is an enlarged view of the exponential horn;
FIG. 4 is a sectional view through the cone serving as a bearing
for the vibrator tube and the guide tube for the cystoscope;
FIG. 5 is a front view of the cone;
FIG. 6 and 7 shows the jaws of a lithotrite in two positions;
FIG. 8 shows a flushing probe;
FIG. 9 shows a mandrin known per se;
FIG. 10 shows a detail variant of the guide cone with vibrating
probe, light conductor and flushing probe in section;
FIG. 10a is an enlarged cross section of the flushing probe with
light conductor and vibrating probe;
FIG. 11 is another view, partly in section, of the flushing
probe;
FIG. 12 shows a rigid vibrating probe;
FIG. 13 shows a flexible vibrating probe, partly in section;
FIG. 14 shows a modified, flexible vibrating probe, and
FIG. 15 and 15a show a further possible embodiment of the flexible
vibrating probe.
DESCRIPTION OF THE PREFERRED EMBODIMENT
According to FIG. 1, 1 is a steel body or base member, 2 and 2a are
piezoelectric ceramic discs and 3 is an aluminum body or sound
transmitting member of the piezoelectric transducer. A high-alloy
steel bolt 4 constitutes a mechanical means for connecting these
four elements. The steel bolt 4 has threads 4a and 4b and is
tightened and locked to the steel body 1 by means of an external
nut 4f. Thus it is evident that the base member 1, piezoelectric
discs 2 and 2a and sound transmitting member 3 are tightly held
together. 4c and 4d is the trumpet-shaped flare end portion of the
said steel bolt in the region of the main sound transmitting end
face of aluminum body 3. The end portion 4c and 4d tapers conically
towards the end in a flat curve so as to form an exponential horn.
A fixing arm 5 is attached by means of a screw 5a in a groove of
the steel body 1. The arm 5 has at its free end a lever 6 which can
be adjusted by means of a slot and a screw 6a. Lever 6 serves as an
adjustable holder for the cone 7 having a locking device 7a and 7b.
8 is a socket tube with closing devices 9, 9a and 9b of a known
type for mounting and locking the cystoscope Z.
According to FIG. 2, a fixing arm 10, which in turn is outside the
vibration range, is connected with the transducer by means of a
screw 10a, an angular lever 11 for attachment of the cone 7 being
attached to the free end of the said transducer by means of a screw
11a which is also adjustable.
According to FIG. 3, 4b, 4c and 4d with the internal bore 4e relate
to an enlarged view of the exponential horn.
According to FIGS. 4 and 5, is the above-mentioned core with the
bores 7c for the guide tube 8 through which the cystoscope is
entered. The end piece of the exponential horn 4d is inserted in
bore 7e. The sound insulating sleeves 7d and the closure means 7a
and 7b are known structures.
According to FIGS. 6 and 7, a lithotrite 21 with claw-shaped jaws
21a and 21b and located with a tube 20 so as to be free to move,
serves as a vibrating, transmitting and acting device.
According to FIGS. 8, 9, 10 and 11, the reference numeral 23
denotes a flushing probe which has initially to be introduced into
the bladder by means of a mandrin 27, 28 and 29, said flushing
probe 23 being provided with closure elements 24 and 24a known per
se, water connections and closure cocks 25, 25a and 26 and a
spoon-shaped leading end 23a, 23b.
According to FIGS. 10 and 10a, 23 is a flushing tube which is slid
over the cone 7 and secured by means of the locking device 7a. Z1
is the light conductor of cystoscope Z and 29 is a vibrating probe,
and Spw the flushing water passing through tube 23.
According to FIG. 12, the reference numeral 29 denotes a rigid
probe with a male thread 29aand a sound transmitting spigot 29b,
the male thread 29a of the probe being followed in the diretion
towards the cup-shaped hollow disintegration head 29e by a
conically tapering section 29c and an again slightly flaring
section 29d.
FIG. 13 shows a flexible probe 30 with a male thread 39a, a sound
transmitting spigot 39b, a plastic sleeve 33 and a vibrating wire
core 31. 32 is again the cup-shaped hollow disintegration head.
FIG. 14 shows a flexible probe 34 with a plastic sleeve 35, a male
thread 34a, a sound transmitting spigot 34b and a sound
transmitting element 34c which transmits the vibrations via a
mercury column 36 to a cup-shaped disintegration head 37, 37a.
According to FIGS. 15 and 15a, 38 is a sound transmitting means
consisting of many individual wires 39a which are arranged in the
manner of a wreath between an outer tube 39 and a flushing tube 40.
38a is a male thread and 38b is a sound transmitting spigot.
The invention may be embodied in other specific forms without
departing from the spirit or essential characteristics thereof. The
embodiment is therefore to be considered in all respects as
illustrative and not restrictive.
* * * * *